Individual provider Active NPI

Roy King, MD

  • Dermatopathology (Pathology) Physician
  • Knoxville, TN
National Provider Identifier
1225036858
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
30472 Issued in TN
Practice address
139 Fox Rd
Ste 204
Knoxville, TN 37922-3472
Phone
(865) 474-8866
Fax
(865) 238-2626
NPI assigned
Jul 8, 2005
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 30472 TN
Dermatopathology (Pathology) Physician 207ZD0900X 30472 TN Primary

Addresses

Primary practice location

139 Fox Rd
Ste 204
Knoxville, TN 37922-3472

Mailing address

PO Box 440500
Nashville, TN 37244-0500
Phone (865) 670-6199

Other practice location 1

930 Madison Ave Ste 890
Memphis, TN 38103-3413
Phone (901) 866-8834

Other identifiers 2

IdentifierTypeStateIssuer
4325413OtherTNBC DERMATOPATHOLOGY PARTNERS
3838156MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000361 TN Practitioner - Pathology 7517995467 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatopathology Partners PCGroup PAC ID 1951560739, 8 clinicians

Practice addresses (Care Compare)

139 Fox Rd
Suite 204
Knoxville, TN 37922-3472
Phone (865) 201-2560

Merit-based Incentive Payment System (MIPS)

Final score
45 of 100Reported as individual
Quality
90
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatopathology Partners PC Dermatopathology CurrentSince Jan 20, 2012 Accepting new patients
Knoxville Dermatopathology Laboratory LLC Dermatopathology CurrentSince Sep 23, 2012 Accepting new patients
Outreach Clinics Unlimited PLLC Past Accepting new patients

Locations

123 Fox Rd
Ste 201
Knoxville, TN 37922
Phone (865) 474-8866

139 Fox Rd
Ste 204
Knoxville, TN 37922
Phone (865) 201-2560

315 Erin Dr
Knoxville, TN 37919
Phone (865) 321-4001

Dept 888107
Knoxville, TN 37995

Dept 888136
Knoxville, TN 37995

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1225036858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 440500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372440500",
            "telephone_number": "865-670-6199",
            "fax_number": "865-670-6188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FOX RD",
            "address_2": "STE 204",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223472",
            "telephone_number": "865-474-8866",
            "fax_number": "865-238-2626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "930 Madison Ave Ste 890",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381033413",
            "country_code": "US",
            "telephone_number": "901-866-8834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TN",
            "license": "30472",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "TN",
            "license": "30472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC DERMATOPATHOLOGY PARTNERS",
            "identifier": "4325413",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3838156",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.